Are hospitals required to submit a C-4 form or can they continue to submit bills with a UB-04 form?
Hospitals may continue to submit the UB-04 form for services provided. However, this form is primarily a billing form, so a medical report must be submitted in order for the insurance carrier to properly consider the bill. The report will also provide the necessary documentation required in support of the claimant’s case. • Can the various forms be incorporated into any medical billing software, or must we use the actual Board form? If so, can the Board logo be removed? Can the entire form be in black and white rather than having the upper headings and fields in blue? Is there any leeway in the vertical and horizontal spacing? Where can we address questions? A software company can incorporate any of the Board forms into its software package, but the form used must be similar to the prescribed Board form. Minor variations such as spacing are acceptable. The forms can be duplicated in black and white without the use of the blue color. The Board logo must be included on the form. The Boar
Related Questions
- I do not own a computer, may I continue to submit the Transaction Fee Report Form (PUR 3776) via fax or U.S. Mail?
- Are hospitals required to submit a C-4 form or can they continue to submit bills with a UB-04 form?
- Who requires a Progress Report? What happens if I do not submit a progress report form?
